Pizza Shuttle

Business Account Application Form

Pizza Shuttle Business Accounts are open to business customers who have ordered a minimum of three times from Pizza Shuttle prior to setting up the account. A valid order history will be verified before your business account application is approved. Invoices will be sent via email 1-3 business days after order was delivered.

Email address *

Business Information

Business Name *

Business Address *

Business City, State, Zip *

Billing Information

Billing Preference *

Billing Contact Name

Title

Phone Number

Billing Email Address *

Billing Address Same as Business Information *

Yes No

Billing Address

Billing City, State, Zip

Authorized Account Users Please list all names and titles of the individuals authorized to order under this Business Account.

Authorized Account Users

Are you Tax Exempt? If yes, please provide tax exemption certificate to [email protected]

Yes No

Payment Information Business accounts must be paid by check. Please make checks payable to: Pizza Shuttle, Inc., P.O. Box 510036 Milwaukee, WI, 53203

I Agree to the Terms of Agreement

Electronic Signature *

Your Title *

Date *

Contact Us: Please contact our business office with any billing and account inquiries. Email: [email protected] A copy of your responses will be emailed to the address that you provided.

OPEN FROM LUNCH 'TIL LATE!

WE DELIVER!

Catering Menu

Business Account Application Form

Business Information

Billing Information

I Agree to the Terms of Agreement

Contact Info
Contact Info
Address:	1827 N Farwell Ave
City, State & Zip	Milwaukee, WI 53202
Phone:	This will trigger a call to 414-289-9993 on mobile phone.
For Catering Orders and Questions please email:	[email protected]